Pekarek, Brian Thomas
Pekarek, Brian Thomas is an individual health care provider with primary practice located at 47 Penny Ln Ste 1 , Watsonville CA 95076-6055. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Pekarek, Brian Thomas can be contacted via phone (831) 728-8844.Contact Information
Primary practice address
47 Penny Ln Ste 1
Watsonville CA 95076-6055
Phone: (831) 728-8844
Fax: (831) 763-1001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 278 | Alabama |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 278 | Alabama |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36 003501 | Ohio |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E5177 | California |
Profile Details
NPI number | 1538108675 |
---|---|
LBN Legal business name | Pekarek, Brian Thomas |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Aug 31st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538108675 | NPPES |
Ohio | Other | 1563848 | MEDICAID GROUP |
Ohio | MEDICAID | 051556220 | MEDICAID GROUP |
Ohio | Other | CH5179 | MEDICAID GROUP |
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